Numb chin syndrome secondary to leptomeningeal carcinomatosis from gastric adenocarcinoma

Vincent J. Riesgo, Silvia Delgado, Julio Poveda, Kottil W Rammohan

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Numb chin syndrome (NCS) can be a sign of malignancy. Its association with gastric adenocarcinoma is rare. We report a case of a 27-year-old Hispanic female that presented with complaint of left sided headache associated with numbness of the left side of chin and lower gingiva. Initial brain MRI, whole body gallium scan, high resolution CT of chest and elevated protein in the CSF were suggestive of sarcoidosis. She was treated with IV steroids with transient clinical improvement. Two weeks later, her symptoms worsened and further evaluation revealed the diagnosis of a poorly differentiated metastatic gastric adenocarcinoma with leptomeningeal involvement. This case report aims to emphasize the importance of identifying NCS as a possible indication of an underlying malignant condition. Reported cases of NCS associated with metastatic gastric adenocarcinoma are very rare.

Original languageEnglish (US)
Pages (from-to)E16-E20
JournalJournal of Gastrointestinal Oncology
Volume6
Issue number2
DOIs
StatePublished - 2015

Fingerprint

Meningeal Carcinomatosis
Chin
Stomach
Adenocarcinoma
Whole Body Imaging
Gallium
Hypesthesia
Gingiva
Sarcoidosis
Hispanic Americans
Headache
Thorax
Steroids
Brain
Neoplasms
Proteins

Keywords

  • Gastric adenocarcinoma
  • Leptomeningeal carcinomatosis (LMC)
  • Mental nerve neuropathy
  • Numb chin syndrome (NCS)
  • Sarcoidosis

ASJC Scopus subject areas

  • Oncology
  • Gastroenterology

Cite this

Numb chin syndrome secondary to leptomeningeal carcinomatosis from gastric adenocarcinoma. / Riesgo, Vincent J.; Delgado, Silvia; Poveda, Julio; Rammohan, Kottil W.

In: Journal of Gastrointestinal Oncology, Vol. 6, No. 2, 2015, p. E16-E20.

Research output: Contribution to journalArticle

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